Attach 6 - Financial Institution Reference Sheet.pdf
PDF 1 MB Posted
- Attached to
- Generator Replacement
- Solicitation number
- FA670325B0006
About this file
This document is a Financial Institution Reference Sheet for solicitation number FA670325B0006, issued by the 94th Contracting Flight at Dobbins Air Reserve Base in Georgia. The form is designed for contractors to provide detailed financial information from their banking institutions as part of a contractor responsibility determination.
The two-part form requires contractors to first fill out their company details and provide permission for the financial institution to release account information. The financial institution is then asked to complete sections about the contractor's financial standing, including average monthly balances, current loans, lines of credit, payment history, and credit rating. The document is dated 15 August 2025 and serves as Attachment 6 to the solicitation, indicating it is a supporting document for a federal contract evaluation process.
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Text version
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Please fill out and return a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for solicitation number FA670325B0006, TO BE FILLED OUT BY CONTRACTOR:
Company’s Name: ___________________________________________ Point of Contact (POC) Name: _________________________________ POC Phone Number: _________________________________________
INSTITUTION NAME: ______________________________________
POC Name: ________________________________________________ POC Title: _________________________________________________ POC Phone Number: _______________Fax Number: ______________
I give permission for the following information regarding my account(s) at your institution to be released to representatives of the 94th Contracting Flight, Dobbins ARB, GA.
Printed Name/Title Signature/Date
TO BE FILLED OUT BY FINANCIAL INSTITUTION:
Please give amounts as a range – i.e., low four figures, mid six figures, etc.
Average monthly balance in checking: ____________________________ Average monthly balance in savings: _____________________________ Amount of any current loans: ___________________________________ Amount of any lines of credit: __________________________________ Any late payments of NSFs: ____________________________________ How long with this institution: __________________________________ Credit rating with this institution: ________________________________
I verify that the information provided above is current as of _____________________________
Name/Title Signature/Date
15 Aug 2025Attachment 6 FA670325B0006
File details come from the government source that posted it. Updated .